静脉声学造影与经阴道彩色多普勒超声诊断子宫内膜息肉价值的比较  

Comparison of intravenous contrast-enhanced ultrasound and transvaginal color Doppler sonography in diagnosis

作　　者：任美杰[1] 杨敬春[1] 杜岚[1] 吴静[1] 

机构地区：[1]首都医科大学宣武医院超声诊断科,北京100053

出　　处：《首都医科大学学报》2017年第4期620-625,共6页Journal of Capital Medical University

摘　　要：目的通过与经阴道彩色多普勒超声(transvaginal color doppler sonography,TVCD)诊断结果进行对比,探讨静脉声学造影(intravenous contrast-enhanced ultrasound,CEUS)对子宫内膜息肉(endometrium polyps,EPs)的诊断价值。方法 85例可疑EPs病例以病灶直径10 mm为界分为2组,先后行TVCD、CEUS检查;病理证实后,将两结果进行比较。结果 2组造影诊断EPs敏感度分别为82.8%、94.1%,特异度分别为90.9%、72.7%,诊断符合率分别为85.0%、88.9%,明显高于TVCD,差异有统计学意义(P<0.05);CEUS检查中56例与病理结果相符,53例灌注方式呈离心型,3例呈整体型;时间-强度曲线分析2组病灶间各参数差异无统计学意义(P>0.05)。结论 CEUS是临床检查EPs的良好手段。Objective To evaluate the value of intravenous contrast-enhanced ultrasound in diagnosis of endometrial polyps （EPs） by comparison with transvaginal color Doppler sonography （TCVD）.Methods Eighty five cases were studied by Transvaginal color doppler sonography and intravenous contrast-enhanced ultrasound （CEUS）, respectively, confirmed by pathology and comparing the two results.Results In the two groups of CEUS, the sensitivity was 82.8%, 94.1%, specificity was 90.9%, 72.7%, the diagnostic coincidence rate was 85.0%, 88.9%, all of these were higher than those of TVCD group, there was significant differences between two methods（P〈0.05）.56 cases conformed to the pathological diagnosis, 53 cases showed the enhancement pattern was centrifugal enhancement, 3 cases was overall enhancement, intensity appeared variously.The difference of start time, peak time, and clear time between EPs and endometria were no significant difference between two groups each other（P〉0.05）.Conclusion CEUS is valuable in diagnosis EPs.

关 键 词：经阴道彩色多普勒超声 静脉声学造影 子宫内膜息肉 

分 类 号：R445[医药卫生—影像医学与核医学]